STACEY MICHELLE WALLACE CRAWFORD

LOUISVILLE, KY
NPI1265567804
Other NameSTACEY MICHELLE WALLACE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: KY  44088)
Enumeration Date2007-02-23
Last Update Date2019-09-26
Business Address
Dr. STACEY MICHELLE WALLACE CRAWFORD M.D.
4004 DUPONT CIR STE 230
LOUISVILLE, KY 40207
Phone number: 502-893-1333
Mailing Address
Dr. STACEY MICHELLE WALLACE CRAWFORD M.D.
2700 STANLEY GAULT PKWY STE 129
LOUISVILLE, KY 40223-5176
Phone number: 502-489-6613